Difficulty: Medium
Average Score: 94%
Simulated
A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and is unable to move independently. The nurse should monitor for which of the following complications of immobility?
Correct answer
A
Rationale
A reddened area over the sacrum indicates potential pressure ulcer development, a common complication of immobility. Hearing difficulties are unrelated, stiffness is a longer-term issue, and upper extremity movement issues are likely due to the stroke itself.